HomeMy WebLinkAbout548994 KORN FERRY - INSURANCE CERTIFICATE (6)-r, ®
ACORV CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDNYYY)
04/01/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INS.URER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL. INSURED provisions di be endorsed.
__.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)..
PRODUCER -
Marsh Risk & Insurance Services
CA License 110437153
633 W. Fifth Street, Suite 1200
Los Angeles, CA 90071
Attn: LosArgeles.Ced*uest@Marsh.com I F:212.948-0535
CN103004981-STND-GAUW-20.21
-CONTACT
NAME:
PHONE FAX
A C No):
E-MAIL
ADDRESS:
INSURE S AFFORDING COVERAGE
NAIC M
INSURER A: Federal Insurance Company
20281
INSURED
Kom Ferry (US)
INSURERS: National Union Fire Ins. Co. of Pittsbuigh, PA
19W
Kom Ferry
INSURER C :
INSURER D :
1900 Avenue of the Stars
Suite 2600
Los Angeles, CA 90067
INSURER E :
INSURER F :
--
rnuico wcce - I"POTIFIrATF kIIIMRFR• 10S.M213155fi-15 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF'SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -
INSR
LTR
OF INSURANCE
ADDLTYPE
INgn
V
POLICY NUMBER
MMIDDPOLICYIY'IYY EFF
POLICYEXP
LIMITS
A
X
COMMERCUILGENERALLIABILITY
-
CLAIMS -MADE a OCCUR
35894292
04101/2020
0410112021
EACH OCCURRENCE
$ 1,000,000
DAMAGE1,000,000
PREMISES Ea occurrence
$
MED EXP (Any one person)
$ 10,000
PERSONAL a ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY [�] PRO a LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMPIOP AGG
$ Z660,000
Combined Total Agg
$ 10,000,000
A
AUTOMOBILE LIABILITY
ANY. AUTO -
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
73556722
04/0112020
04/0112121
COMBINED SINGLE LIMIT
Ea accident
$ 1,060,060
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY.DAMAGE
Per accident
$
Hired Comp/Coll.Ded:
$ 1,000
UMBRELLA LIA
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION $
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNERIEXECUTIVE �
OFFICER/MEMBEREXCLUDED9
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
WCO25893702(AOS)
WCO25893703 (CA)
03101/2020
1011201
03/01/2021
X
STATUTE ERH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -.EA EMPLOYEE
$ 1,000,000
E.L..DISEASE-POLICY LIMIT.
$. 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If mom space Is required)
The City of Foil Collins is/are included as Additional Insured on both General Liability and Automobile Liability as required by written contract but limited to the operations of the Insured under said contract.
The City of Fort Collins
Purchasing Department
PO Box 680
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Eric Chua
0'1988-2016 ACORD
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD